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Fiorinal

Fiorinal is a combination analgesic medication consisting of acetylsalicylic acid, the barbiturate butalbital and caffeine. Some formulations also contain the opioid codeine. It is used to treat tension headaches and migraines. The mechanism of action is not well understood. Since butalbital is habit-forming, using fiorinal daily can lead to dependency. Fiorinal #3 contains: 30 mg codeine, 50 mg butalbital, 40 mg caffeine, and 325 mg aspirin. Used for severe dental pain (1-2 cap q4h prn).

Other brand names include Fiormor®, Fiortal®, Fortabs®, and Laniroif®.

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Cut-off and toxicity levels for drugs-of-abuse testing
From Medical Laboratory Observer, 8/1/04

This table summarizes information useful in the interpretation of drugs-of-abuse assays. It was developed by Daniel M. Baer, MD, professor emeritus of pathology, Oregon Health Sciences University, Portland OR, and updated by Richard A. Paulson, MT(ASCP), supervisor of chemistry and toxicology, VA Medical Center, Portland, OR. The table was updated for CLR 2004-2005 by Robert H. Williams, PhD, DABCC, FACB, MT (ASCP), Clinical Scientist/Consultant, Quest Diagnostics, Inc. and Clinical Associate Professor of Pathology, University of South Florida, both in Tampa, FL.

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